14D2151362 CLIA NUMBER - MIDWESTERN UNIVERSITY EYE INSTITUTE DOWNERS GROVE

Laboratory Demographics

  • CLIA Code: 14D2151362
  • Facility Name: MIDWESTERN UNIVERSITY EYE INSTITUTE DOWNERS GROVE
  • Facility Address: 3450 LACEY RD
    DOWNERS GROVE, IL
    ZIP 60515
  • Facility Phone: 630 743-4613
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENELLE L. MALLIOS GIALOUSAKIS
  • NPI Number: 1639610942
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 14D2151362
LAB Type Physician Office
Facility Name MIDWESTERN UNIVERSITY EYE INSTITUTE DOWNERS GROVE
Street 3450 LACEY RD
City DOWNERS GROVE
State IL
ZIP 60515
Phone 630 743-4613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Physician Office
Lab Director JENELLE L. MALLIOS GIALOUSAKIS

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This page was last updated on: 9/29/2025